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422 NE 93 St (2)ick cy MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address 7 Registered Architect and/or En eer Employing Plumber's Name JA) k. NO. 199•1 Location and Legal Description Lot Street and Number where work is to be performed—No State work to be performell and purpose of building (By Floors) New Building_ Remodeling Addition. Repairs No. of Stories... ............ Size Septic Tank_ Feet of Drain Nature of Water Su _Type of Tank. _Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Bloe1 Street Capacity Gals Date J-P / The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations 0.4 ./ employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent Su:( ment, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed u er this permit, as are licensed by Miami Shores Village. , - P1 II Iing Inspector: Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Fknida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made • necessary by improper notica for insi n, or faulty materials and/or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tues URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK ... SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTE SW IM •G P001. - cetera. LIST I' CHECK ick cy MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address 7 Registered Architect and/or En eer Employing Plumber's Name JA) k. NO. 199•1 Location and Legal Description Lot Street and Number where work is to be performed—No State work to be performell and purpose of building (By Floors) New Building_ Remodeling Addition. Repairs No. of Stories... ............ Size Septic Tank_ Feet of Drain Nature of Water Su _Type of Tank. _Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Bloe1 Street Capacity Gals Date J-P / The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations 0.4 ./ employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent Su:( ment, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed u er this permit, as are licensed by Miami Shores Village. , - P1 II Iing Inspector: Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Fknida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made • necessary by improper notica for insi n, or faulty materials and/or workmanship. r r . MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT a FOR ELECTRICAL PERMIT Permit No riVn Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work Owner's Name and Address YgkR Co �.: � No Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed —No STATE OF FLORIDA, COUNTY OF DADE. f ss ' y a! Block Subdivision, (Signed) ?fi 6� C Date Street k Street 6 i / Street - State work to be performed and purpose of building (By Floors) - -t.._ New Building r y Remodeling Addition Repairs No. of Stories ServioOverhead 'Size Feeders/ 17 / Conduit Main Sw Amps Main Fuses ,.4 Underground, Type of Installation— Conduit Tubing a. B.X.L .Metal Moulding Amount of Permit $ r (Signed) r ` Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Pt Amps Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T's FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST yr 2c, /Jul ✓ d G C+ / ___z_ CHECK ENT. SW. DIET. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST 1 ,f o � � , CHECK r r . MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT a FOR ELECTRICAL PERMIT Permit No riVn Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work Owner's Name and Address YgkR Co �.: � No Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed —No STATE OF FLORIDA, COUNTY OF DADE. f ss ' y a! Block Subdivision, (Signed) ?fi 6� C Date Street k Street 6 i / Street - State work to be performed and purpose of building (By Floors) - -t.._ New Building r y Remodeling Addition Repairs No. of Stories ServioOverhead 'Size Feeders/ 17 / Conduit Main Sw Amps Main Fuses ,.4 Underground, Type of Installation— Conduit Tubing a. B.X.L .Metal Moulding Amount of Permit $ r (Signed) r ` Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Pt Amps Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. /// Permit No.- _ 0) Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is de in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of th to of , all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be Nether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address_ Registered Architect and /or Employing Plumber's Name Location and Legal Description Street and Number where work is to be performed — State work to be performed and purpose of building New Building -- - - - - - Remodeling Size Septic Tank_ --- of Tank Feet of Drain Tile__ Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well. - - -_- _ _..... __...... _--- ___- _- ... __ -- _._Size of Soakage Pit .__._.__ _ -- Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Addition____ Repairs___ No. of Stories.. (Signed)- Plumbing Inspect The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig fans as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Perinan ;T Supplement, and has com- plier with the provisions thereof, and will require similar compliance from all contractors or sub - contractors empl• by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed and is , permit, as are licensed by Miami Shores Village. (Signed) 2 .... -- — — Capacity Gals My Commission Expires Notary Public, State of Florida aster Plumber. STATE OF FLORIDA, es. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _-- ---- - - ---- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made 'necessary by improper notice for insp ' 9n, or faulty materials and /or workmanship. CLOSETS BATH TUBS SH OWER! LAVA- TORIES S INKS SLOP SINKS LAUNDRY TUBS URINAL i CATCH BASIN FLOOR DRAIN DRINKING FOUNT' N6 `— TOTAL FIXTURE6 CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM •G POOL CONTR. LIST CHECK /// Permit No.- _ 0) Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is de in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of th to of , all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be Nether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address_ Registered Architect and /or Employing Plumber's Name Location and Legal Description Street and Number where work is to be performed — State work to be performed and purpose of building New Building -- - - - - - Remodeling Size Septic Tank_ --- of Tank Feet of Drain Tile__ Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well. - - -_- _ _..... __...... _--- ___- _- ... __ -- _._Size of Soakage Pit .__._.__ _ -- Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Addition____ Repairs___ No. of Stories.. (Signed)- Plumbing Inspect The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig fans as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Perinan ;T Supplement, and has com- plier with the provisions thereof, and will require similar compliance from all contractors or sub - contractors empl• by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed and is , permit, as are licensed by Miami Shores Village. (Signed) 2 .... -- — — Capacity Gals My Commission Expires Notary Public, State of Florida aster Plumber. STATE OF FLORIDA, es. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _-- ---- - - ---- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made 'necessary by improper notice for insp ' 9n, or faulty materials and /or workmanship. ASSEMBLY LOCATION ' 1 2 3 4 INST REM INST REM INST REM INST REM ACCOUNT 366/366.7 ( RWO ER Date Date H;31012I 1 ! 1 ; ; !, I I 1 1 I I I , . H,6 1 1 , , , , 1 NE q3 ST H1 I 610131 1 1 1 I I , 1 1 1 1 , 1 1 1 1 1 1 , , , , 1 1 I ■. 1 1 1 1 I I I 1 1 1 1 1 1 1 1 I . 1 1 • 1 1 1 1 1 1 1 1 1 1 1 1 1 1 , 1 1 1 1 1 1 1 • 1 1 , 1; LIZ L . 1 1 1 , 1 1 1 1 I N• 1 12: 1 , 1 1 ACCOUNT 367/367.7 C11 19∎21 1 ' 1 1 1 "1 1 1 I I I 1 I 1 I 1 1 • 1 1. 1 1 1 1 1 1 1 1 1 1 ' I I I 1 1 , 1 I I 1 1 1 1 i 1 1 1 ■ 1 I 1 1 + + f 1 T 1..— — - - - h I POSE } 1 i 44—$4.0 I'd M►/ AC 4, 1..... — — — P21106, ♦ rr"`/IIC V "' -"'s A �:, - V / Y /FL AY 4 ACCOUNT 368 Li1;4j1i -1 1 1 1 1 1 1 1 1 ■ I 1 1 • I 1 1 1 1 1 1 1 1. 1 1 1 1 1 1 1 1 1 1 1 L'1 15'0 —' I I I 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 ' 1 1 1 1 , 1 , 1 1 1 1 1 , 1 1 1 1 1 1 1 , 1 *I yC ACCOUNT 369 .3 ' MIAMI / 26tV /�6Gd/ SNo C i7 .2 i1 , , 1 1 ma-Ey 1 1 1 I 1 1 ' 1 I 1 1 1 I 1 t i I C 1 7;2 8 i ■ 1 1 1 1 11 I i 1 1 1 1 1 1 1 1 1 1 I 1 1 1 , , FP 44 ro PR.oVib, rReJVc,H J 6A FILL 0 C/ BLE:5 f c :7 :3:6 I I I 1 1 1 1 1 1 1 1 I I 1 1 , I I H1310:2 i i i 1 IS :V H;610i2 ' ; S;V H;6 i 3i : i i• !V -- - 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 �, 1 I 1 I 1 I I 1 1 I 1 1 1 I CONDUCTOR — 367/3671;c INST REM • I ■ _ _ e — 369 1 1 1 1 1 1 1 0 , . V INST /2O REM Trench Feet Duck Bk Fcet Neutral Fcet 600V Cable Feet INCH CA LE NORTH `. ", Buried Other 1 , I 1 I/ 10 1 T 1 P 1X,6 80 /20 /90 SC) if- Ti P 1610!0; i 1 rP1X161010 V Addres y 2 NE 93 s i Engineered by — Clearances _ OK _ III��� Descriptiv Title OV I t /20 �L.—i�L' J�V /Ci�' L V ^� '{/ Reviewed by Dist. /Div. Engr. .LlrrJ R1.- -, c- Load Data (• Q A�Ips _ y r � } c J . ow G/ MAP M M A, Date Service Required f L/ /S /�Q Cust. Added / Ear /• ,'i 7 Orig. W.O. No. — Certified Complete — Supervisor Authorized — Manager RWO ER Date Date CyJNDERGROUND/URD INVENTORY SKETCH OUP WORK ORDERS ONLY) GROUP W.O. NO ER. NO. 4 r) LOC'N CODE gq9 DIST rY, INV. SKETCH NUMBER SERVICE CENTER N [,J S C FORM 160 REV. 3/69 Permit No I Z ' C ' . Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address . e0/4 - 2 4 ...... Registered Architect and /or Engin r _____— __-- _______ -___ - - - -- _ _ -- Employing Plumber's Name _._. f O Q __ 4_y_ , ai / �.__ No-Y Street___ / yX7 _._ 7a'v' 4 �/ Location and Legal Description Lot_ -__ --- ` - i 0 Block `S Subdivision__ �. I 'LLLiker: )#z-._ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors ) _ New Building _-__4 Remodeling- ----- _------ --- -- -- ---- Addition__ Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well. Amount of Permit $ q f - - - -- - - -- - - - - - - -- - ------------- - - - - -- - u 3 ' _ - - -- — -- - — — (Signed)_ - — — MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street - -- 4 7 ' _.9_ (Signed)__ Repairs No. of Stories.. _. Capacity Gals Type of Tank Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit to me well known, and who, being by me first duly sworn, upon oath deposes and - that he is the_ . of the above described_ construction, that he has carefully read the foregoing a • . I ation, and tha therein by him stat �1r i t LlC, STATE of FLORIDA ®t LARD! LlX COMMISSION IHRR F D _ My Commission Expires Date / — `° - — Street_ /r 2 J 5 + Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts hi gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe anent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, 1 ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared gn ilie same, and that all facts blic, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIEB SINKS SLOP SINKS LAUNDRY TUBS INALS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N6 TOTAL FIXTURES CONTR. LIST I ' L I j 9 CHICK qI'._ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOMPIR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL C jC/( sQw/ e.e. —_ COHTR. LIST / J / — CHICK Permit No I Z ' C ' . Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address . e0/4 - 2 4 ...... Registered Architect and /or Engin r _____— __-- _______ -___ - - - -- _ _ -- Employing Plumber's Name _._. f O Q __ 4_y_ , ai / �.__ No-Y Street___ / yX7 _._ 7a'v' 4 �/ Location and Legal Description Lot_ -__ --- ` - i 0 Block `S Subdivision__ �. I 'LLLiker: )#z-._ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors ) _ New Building _-__4 Remodeling- ----- _------ --- -- -- ---- Addition__ Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well. Amount of Permit $ q f - - - -- - - -- - - - - - - -- - ------------- - - - - -- - u 3 ' _ - - -- — -- - — — (Signed)_ - — — MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street - -- 4 7 ' _.9_ (Signed)__ Repairs No. of Stories.. _. Capacity Gals Type of Tank Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit to me well known, and who, being by me first duly sworn, upon oath deposes and - that he is the_ . of the above described_ construction, that he has carefully read the foregoing a • . I ation, and tha therein by him stat �1r i t LlC, STATE of FLORIDA ®t LARD! LlX COMMISSION IHRR F D _ My Commission Expires Date / — `° - — Street_ /r 2 J 5 + Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts hi gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe anent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, 1 ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared gn ilie same, and that all facts blic, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT e Permit No '4 1 Date a � Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oI other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. �+ (/)..)".- Owner's Name and Address. . .2.�I°t qq - A/ �rl" No At. " Street �" Employing Electrician's Name /61 , z- cl e C No.29a 4- Registered Architect and /or Engineer Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) i New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ {0..1. (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Matter Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE. I °° Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUO RECE'P'T's FIXTURES NO. LAMPS RtrRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 MP NEON TRANS. RADIO TOTAL CONTR. LIST 3 CHICK • MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT e Permit No '4 1 Date a � Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oI other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. �+ (/)..)".- Owner's Name and Address. . .2.�I°t qq - A/ �rl" No At. " Street �" Employing Electrician's Name /61 , z- cl e C No.29a 4- Registered Architect and /or Engineer Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) i New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ {0..1. (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Matter Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE. I °° Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. \ A P STATE OF FLOFIDA, 1 . COUNTY OF DADE. j ss. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT LICATION FOR BUILDING PERMIT Application is hereby uinde for lc approval of the detailed statement or the plans and specifications herewith submitted for the build • ing or other structure herein described. This application Is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Ov.ncr's Name and Address . .. Oa/4A __ — No. 4 Street_.. :.. S7- r _ Registered Architect and /or lyngineer..... � /..�..�/ �/'"'/ .... ......ft .�f�,l�Fm'S' ....,. •,,..,,n + =.. «.•.,.,,,,, ,.„,. Name and address of licensed contractor r. 4r 1 _ ST ..._. ...— ..... — ».. Location and legal description of lot to be built on: Lot 9 . ve-/e Block Subdivision /. i.4 !2d r�. Q�wF..6.°:..- • ••> L ?' .e a Street and Number where work is to be done _ r' State work to be done and purpose of building (by floors) _ _ --•• - - -•• -- and for no other purpose. New Bui!ding Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation joof Covering Estimated Total cost of improvements $ ,/7Qai2 Amount of Permit S.... Zone cubage required plan Cubage Distance .to next nearest building Size of Building Lot Maximum lire load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may • be sent to.. c/..! p . T�.R.!C.O.....vCS'.T_'... /.G.t The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of Libor under the 'Florida %Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require s 'lar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ss�•ral:• � � �� Remarks Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared__._ .. _..._...._ .................. me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true.. Permit No ZULU/' Date 3 .1112 Read, Sworn to and Subscribed before me. Disapproved .... 4 . Date (Signed) Notary Public, State of Florida Building Inspector My Commiuion Expires PLANNING BOARD DATE Crhair,nan Member Member Member Member .. .. Member _ — .- ... -- --• -• Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the I'Iupnir.g Board. A re-inspection fce of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.